How can we describe the Hispanic nasal anatomy? If we examine the skin of a Hispanic nose, we will notice that it is thick with presence of abundant sebaceous glands. The Hispanic nose has a wide nasal bridge and a convex dorsum, more commonly known as a nasal hump. Meanwhile, it also possesses a low to normal radix.

The tip of a Hispanic nose is most often bulbous and has the presence of very thick skin. There is an under projection of the nasal tip and it is sometimes even derotated. However, most tips are still normal. There is a lot of soft nasal tissue and the nasal domes are often wide. The columella of a Hispanic nose ranges from short to normal. The base of the nose is wide and thick with the nostrils that are horizontal and flaring. The nasolabial junction is retracted and at an acute angle. The maxilla is within the normal range.
Having said that, what are the typical goals of those who are of Hispanic background when it comes to rhinoplasty? Most of the time, Hispanic patients will desire a thinner nose bridge and a higher dorsum. They also want a nasal tip that is more refined, with more projection and an increased rotation.

The Hispanic patient would also want to decrease or remove their flaring and horizontal nostrils, exchanging them for obtuse and finer ones. They also would want to have their maxilla at a less retrusive state and the soft skin tissue surrounding the bones to be less thick so as to have more definition in the nasal area.

Upon consultation with a reputable plastic surgeon, the patient will be evaluated for good physical health. He must have no conditions that are present which will jeopardize his healing after the operation or cause complications for the surgery. The goals of the patient must also be expressed clearly so that the surgeon will know exactly what he wants.
The surgeon will also communicate to the patient the limitations of having rhinoplasty surgery. Every doctor has his own unique style to doing surgeries and will sometimes refrain from doing any changes that he feels will not be suited to the particular patient’s natural beauty or racial background.

Most of the time, the following procedures will be done to the Hispanic patient given his unique nasal anatomy. First, a septoplasty will be performed, followed by a tubinoplasty. Next, incisions using the open technique will be performed as well as a subdermal dissection of the nasal tip and a subperiosteal dissection on the nasal dorsum.
The subcutaneous and fibrofatty tissues that are abundantly present on the nasal tip will be excised. However, after they are excised, they will be saved for use later on in defining the nasal tip and for concealing the other incisions that will be made on the nose.

In line with that, a nasal tip surgery may also be required, where the tip will be dissected in order to increase the projection of the nasal tip and to add for rotation as well. The result will be a more projected nose with a tip that has superior rotation.